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Individual

JAMIE LEA BRISKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, WICHITA, KS 67221-3506
(316) 743-5021
Mailing address
57950 LEAVENWORTH ST, MCCONNELL AFB, WICHITA, KS 67221-3506
(316) 743-5021

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1315654
TX
225100000X
Physical Therapist
P18729
NC

Other

Enumeration date
05/29/2019
Last updated
08/01/2023
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